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Stunting is a major public health problem that results from inadequate nutritional intake over a long period of time. Disasters have major implications in poor and vulnerable children. The aim of this study is, therefore, to assess the impact of disasters on child stunting in Nepal. Method: Sample of size 2111 children aged 6-59 months were obtained from the 2011 Nepal Demographic and Health Survey. We used Bivariate and multivariate analyses to examine moderate and severe stunting against disaster, controlling for other possible confounders. Result: Out of total study sample, 43% were stunted (17.1% severely and 25.9% were moderately stunted). The final mode!, after adjusting for confounders, showed that disaster has no impact on child stunting [adjusted OR = 1.14, 95%CI: 0.66, 1.97 and adjusted OR=l.04, 95%CI: 0.66, 1.65 for severe and moderate stunting respectively for epidemics] and [adjusted OR = 0.58, 95%CI: 0.31, 1.06 and adjusted OR=0.66, 95%CI: 0.41, 1.04 for severe and moderate stunting respectively for floods]. However, children aged 6-11 months; non-vaccinated child, children of working women, children who live mountainous area and children from poorest household were more likely to be moderately stunted. Similarly, child aged: 06-4Tmonths, Dalit and other ethnic groups, children from rural setting and children from poorest households were more likely to be severely stunted.Conclusion: This paper illustrates the need to rethink about child stunting in Nepal. The study suggests need for further research, integration of disaster data in NDHS, educational interventions, public awareness, promotion of vaccination and equity in health service delivery.

Child Nutrition Disorders --- Health Impact Assessment --- Disasters

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farms --- Sustainability --- Economic indicators --- Social indicators --- Environmental impact assessment

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URBAN AREAS --- WOODLANDS --- AIR POLLUTION --- ENVIRONMENTAL IMPACT ASSESSMENT

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Water courses --- Environmental impact assessment --- Water management --- Management --- Methodology

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Roads --- Road construction --- Environmental impact --- Environmental impact assessment --- Peru